Organization · NPI-2

Psychiatryspace, PC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Aiken, SC

NPI number1649071960
StatusActive
Last updated in NPPESMar 22, 2025

Details

NPI
1649071960
Entity type
Organization (NPI-2)
Legal business name
Psychiatryspace, PC
Organization subpart
No
Enumeration date
Mar 22, 2025
Certification date
Mar 22, 2025
Last updated
Mar 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
2084P0800X Psychiatry & Neurology, Psychiatry––

Practice location

410 University Parkway
Suite 2300
Aiken, SC 29801-6807

Phone 540-250-6776 · Fax 540-382-1517

Mailing address

19 Pavilion Lake Rd
North Augusta, SC 29860-7520

Phone 540-204-8111

Authorized official

Stella Bassey
Medical Director
5402506776

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